* 1. What is your gender?

* 2. What is your age?

* 3. What is your postcode?

* 4. Have you ever accessed a community recreation centre?

* 5. Do you know where Knox Leisureworks is located?

* 6. Do you participate in regular physical activity? (30 min x 3 times a week)

* 7. What prevents you form participating in regular physical activity? (After answering this question proceede to question 9)

* 8. What type of regular physical activity do you participate in?

* 9. What programs or services would you like to particpate in?

* 10. What programs or services would you like to see offered by Knox Leisureworks?

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